情绪智能和临床决策对护士的信心:创造性自我效能和自我指导学习的连锁中介效应
Lin-Xia Tang1, Wen-Yu Yue1, Xiao-Qin Ma1
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Frontiers in medicine
|December 26, 2025
概括
情绪智能 (EI) 通过高压力领域的创造性自我效能 (CSE) 和其他领域的自我指导学习 (SDL) 提高护士的临床决策信心 (CDMC). 经验会影响这些路径,突出显示出需要量身定制的策略.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 心理学 心理学 心理学
背景情况:
- 临床决策能力对于自主护理实践至关重要.
- 连接情绪智能 (EI) 与临床决策信心 (CDMC) 的心理机制尚不清楚.
- 本研究调查了EI对CDMC在护理中的特定上下文因素的影响.
研究的目的:
- 检查创意自我效能 (CSE) 和自主学习 (SDL) 在EI和CDMC之间的关系中扮演的调解角色.
- 调查部门压力和临床经验对这些途径的缓解作用.
- 为特定背景的策略提供证据,以加强护士的临床决策.
主要方法:
- 一项涉及1126名来自江12家三级医院的护士的横截面研究.
- 结构方程建模 (SEM) 用于分析拟议的调解和调节模型.
- 验证的尺度测量了EI,CDMC,CSE和SDL,用于调节分析的多组SEM.
主要成果:
- EI直接和间接影响了CDMC,CSE和SDL作为重要的调解者.
- 通过CSE的途径在高压力单位中更强,而SDL途径在非高压力单位中占主导地位.
- 临床经验缓和了这些影响,经验较少的护士更多地依赖顺序调解,而经验更丰富的护士显示出更强大的直接EI-CDMC联系.
结论:
- 通过上下文依赖的途径,EI增强了CDMC,CSE和SDL在环境压力和护士经验的基础上发挥了不同的作用.
- 调查结果挑战了统一的模式,倡导定制的干预措施,如应激适应的EI培训和护士的体验性整合.
- 优化临床决策需要战略,承认心理因素,工作环境和专业经验的相互作用.
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